Provider Demographics
NPI:1457924185
Name:GALINDO, CRISTHIAN ANDRES (DENTAL HYGIENIST)
Entity Type:Individual
Prefix:MR
First Name:CRISTHIAN
Middle Name:ANDRES
Last Name:GALINDO
Suffix:
Gender:M
Credentials:DENTAL HYGIENIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8412 35TH AVE APT 3M
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-5463
Mailing Address - Country:US
Mailing Address - Phone:347-879-3405
Mailing Address - Fax:
Practice Address - Street 1:8412 35TH AVE APT 3M
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-5463
Practice Address - Country:US
Practice Address - Phone:347-879-3405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031393124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist